Factors Affecting Uptake of Male Circumcision Among Students
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FACTORS AFFECTING UPTAKE OF MALE CIRCUMCISION AMONG STUDENTS. CASE STUDY: MAKERERE UNIVERSITY, KAMPALA BY MWEETE SHARON 16/U/745 216001401 A DISSERTATION SUBMITTED TO THE COLLEGE OF BUSINESS AND MANAGEMENT SCIENCES IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE AWARD OF THE DEGREE OF BACHELOR OF STATISTICS OF MAKERERE UNIVERSITY. JULY 2019 i ii iii ACKNOWLEDGEMENT I am most thankful to the Almighty God for enabling me to accomplish this work. Special thanks go to my University supervisor Mrs. Afazali Zabibu and all my lecturers at Makerere for all the knowledge they have imparted in me since 2016. I am indebted to most sincerely thank my parents Mr. Zijjampola Paul and Mrs. Zijjampola Robinah for their unwavering financial, moral support and affection they have always rendered to me. May God bless you all! iv DEDICATION I dedicate this dissertation to my parents and family, for their love and support during the period of the study. v TABLE OF CONTENTS DECLARATION ........................................................................ Error! Bookmark not defined. ACADEMIC SUPERVISOR’S APPROVAL ............................................................................. ii ACKNOWLEDGEMENT ......................................................................................................... iv DEDICATION ............................................................................................................................v ACRONYMS ..............................................................................................................................x LIST OF FIGURES ................................................................................................................ viii LIST OF TABLES .................................................................................................................... ix ABSTRACT ............................................................................................................................. xi CHAPTER ONE: INTRODUCTION ......................................................................................1 1.1 Background .......................................................................................................................1 1.2 Problem Statement .............................................................................................................2 1.3 Research Objectives. ..........................................................................................................2 1.3.1 Main Objective ............................................................................................................2 1.3.2 Specific objectives .......................................................................................................2 1.4 Hypotheses. .......................................................................................................................2 1.5 Significance of the Study ...................................................................................................2 1.7 Scope of the Study .............................................................................................................3 1.8 Justification of the study ....................................................................................................4 CHAPTER TWO: LITERATURE REVIEW ..........................................................................5 2.1 Introduction .......................................................................................................................5 2.2 Global prevalence of MC ...................................................................................................5 2.3 MC prevalence in Southern Africa and East Africa ............................................................6 2.4 MC prevalence in Uganda ..................................................................................................7 2.5 Factors that facilitate uptake of MC ...................................................................................7 2.6 Factors that hinder uptake of MC .......................................................................................8 CHAPTER THREE: METHODOLOGY ................................................................................9 3.1 Introduction .......................................................................................................................9 3.2 Study Area .........................................................................................................................9 3.3 Data type and sources ........................................................................................................9 3.3.1 Primary Data ...............................................................................................................9 vi 3.3.2 Secondary Data ...........................................................................................................9 3.4 Sampling Design................................................................................................................9 3.5 Sample size determination ............................................................................................... 10 3.6 Data Processing and analysis ........................................................................................... 11 3.6.1 Data Processing ......................................................................................................... 11 3.6.2 Data Analysis ............................................................................................................ 11 CHAPTER FOUR: RESULTS AND INTERPRETATION OF FINDINGS ........................ 12 4.1 Introduction ..................................................................................................................... 12 4.2 Descriptive univariate Analysis ........................................................................................ 12 4.2.1 Demography .............................................................................................................. 12 4.2.2 Respondents’ understanding of male circumcision ..................................................... 13 4.2.3 Respondents’ Acceptability of MC ............................................................................ 16 4.3 Bivariate level Statistics ................................................................................................... 18 4.3.1 Students’ circumcision status against their age........................................................... 18 4.3.2 Students’ circumcision status against their religious affiliation .................................. 18 4.3.3 Students’ desire for circumcision and the belief MC reduces HIV ............................. 19 4.3.4 Relationship between year of study and MC status .................................................... 19 4.3.5 Relationship between respondents’ marital status and the MC status.......................... 19 4.4 Multivariate Level Analysis................................................................................................. 20 4.4.1 Binary logistic regression on factors associated with uptake of MC. .......................... 20 CHAPTER FIVE: SUMMARY OF THE FINDINGS, CONCLUSIONS AND RECOMMENDATIONS. ....................................................................................................... 21 5.1 Summary of findings ....................................................................................................... 21 5.1.1 Characteristics of the respondents. ............................................................................. 21 5.1.2 Understanding of MC and Uptake of MC .................................................................. 21 5.2 Conclusion ....................................................................................................................... 23 5.3 Recommendations............................................................................................................ 23 REFERENCES ......................................................................................................................... 24 APPENDIX: QUESTIONNAIRE ............................................................................................. 27 vii LIST OF FIGURES Figure 1.1: Conceptual Framework of the study ..........................................................................3 Figure 2.1 Trend in new HIV infections for 10 top sub-Saharan African countries 2005-2013 .....6 Figure 4.1: Represents the respondents’ knowledge about MC .................................................. 13 Figure 4.2: Represents respondents’ source of information about MC ....................................... 13 Figure 4.3: Represents respondents’ view of the best time to be circumcised ............................. 14 Figure 4.4: Represents respondents’ preferred place of MC ....................................................... 15 Figure 4.5: Represents respondents’ opinion of whether MC prevents HIV ............................... 15 Figure 4.6: Represents respondents’ description of MC ............................................................. 16 Figure 4.7: Represents the MC status of the students ................................................................. 16 viii LIST OF TABLES Table 2.1: HIV Prevalence in East Africa. ...................................................................................6 Table 3.1: The distribution of the sample by levels ...................................................................